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A& Amk <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone., (209) 468-3420 Fax: (209) 468-3433 Web.www.sigov.orq/ehd <br /> _ <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> S <br /> -8838 <br /> GAS & MARKET 20 9) 834, July ,12, 2016 <br /> Facility Address: CERS ID: <br /> 515 \1V ELEVENIFH S-F TRACY, CA9537(3 '10181209 <br /> Inspection Contact: Title: <br /> Ken Coc* Assistant iVanaqe;r 4-882,8 <br /> Inspection Type: Program: <br /> R U['I NE i NSPECTiONI - Operiflin.-g-) Pei nn it 23611 - US-T'Fj-`C1UTY <br /> Consent For: Consent Given By: <br /> I-x-11 Inspection E- Photos 1, Samples I Ken COok. bassi s+arl't Nflanager <br /> Service Technician Onsite: Exp.Date: 1-Designated Operator: Exp.Date: <br /> Za,ne Ninnrrm 17 Karen Arnaiz. 05/05/2017 <br /> Service Technician Manufacturer's Training: <br /> �con, 12/08/1 6� VML 02/02J1 T Tank Testerl 1/101"16 <br /> CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspectio <br /> File Review <br /> 101 HSC 25284 No permit to operate Ei V o R Ei COS <br /> 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system Ei V o R o COS <br /> 103 HSC 25292.2 Current financial responsibility documents not submitted Ei V Ei R D COS <br /> 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current n V o R o COS <br /> 105 CCR 2632 Monitoring and response plans not current or approved by the EHD w V n R o COS <br /> 106 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed Ei V o R Ei COS <br /> 107 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V o R o COS <br /> 108 CCR 2637 Failed to test secondary containment o V o R o COS <br /> 109 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V o R o COS <br /> 110 CCR 2638(a) Failed to test monitoring and leak detection equipment annually D V o R o COS <br /> 111 HSC 25284.2 Failed to test spill containers annually o V o R o COS <br /> 112 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days Ei V Ei R o COS <br /> 113 CCR 2636(i) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down o V o R o COS <br /> 114 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days Ei V o R o COS <br /> 115 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification u V o R o COS <br /> 116 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V o R D COS <br /> 117 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ci V o R o COS <br /> 118 HSC 25299 Documents were falsified or misrepresented o V o R Ei COS <br /> 119 CCR 2635(4) Failed to submit UST Certification of Installation/Modification Ej V o R Ei COS <br /> 120 CCR 2712(f)l Failed to submit a written response within 30 days of receiving an inspection report o V E:i R Ei COS <br /> On Site Records <br /> 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions [i V Ei R o COS <br /> 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years o V o R E COS <br /> 203 CCR 2712(b) Failed to maintain records of monitoring,repair,lining,and upgrades on site Ei V o R Ei COS <br /> 204 CCR 2712(i) Current monitoring plan approved by the EHD not found on site a V u R o COS <br /> 205 R 2712 Failure to comply with UST operating permit conditions o V Ei R o COS <br /> Page 9 of 5 <br />